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Montana rates for HCPCS 36260

Insj Implantable Intra-Arterial Infusion Pum

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$738.78 / $3,372.66 / $3,372.66
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.56 / $1,040.56 / $1,040.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$669.50 / $1,040.56 / $1,040.56
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,040.56 / $1,082.90 / $1,158.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$634.05 / $898.27 / $1,372.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$889.71 / $1,135.81 / $1,816.68